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Cited by 114Oral microbiology and periodontitis researchDental Health and Care UtilizationDental Research and COVID-19

A prospective study of social support, anger expression and risk of periodontitis in men

MERCHANT, ANWAR T., PITIPHAT, WARANUCH, AHMED, BILAL, KAWACHI, ICHIRO, JOSHIPURA, KAUMUDI·2003·The Journal of the American Dental Association
DOI 10.14219/jada.archive.2003.0104
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Abstract

Background Stress is associated with poor oral hygiene, increased glucocorticoid secretion that can depress immune function, increased insulin resistance and potentially increased risk of periodontitis.Methods The authors examined the association between social support, anger expression and periodontitis in 42,523 male, U.S.-based, health professionals. Subjects were aged 40 to 75 years in 1986, and more than half were dentists. The men were free of a diagnosis of periodontitis at the start of follow-up in 1996.Results Subjects who reported having at least one close friend had a 30 percent lower risk of developing periodontitis compared with those who did not have a close friend (relative risk, or RR = 0.70; 95 percent confidence interval, or CI, 0.51-0.96). Men who participated in religious meetings or services had a 27 percent lower risk of developing periodontitis compared with men who did not participate in religious meetings (RR = 0.73; 95 percent CI, 0.64-0.83). After the authors adjusted for potential confounding variables, men whose anger scores were in the top quintile were 72 percent more likely to report having periodontitis compared with men whose scores were in the lowest quintile (RR = 1.72; 95 percent CI, 1.39-2.12). Men who reported being angry on a daily basis had a 43 percent higher risk of developing periodontitis compared with men who reported being angry seldom.Conclusion Reduced social isolation and anger expression may play an important role in maintaining oral health, as well as general health and well-being.Clinical implications When treating patients with periodontitis, clinicians should be cognizant of the social and behavioral factors that may affect oral health.

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  • Of the 14 highest-quality immune function studies, 10 (71%) reported significant positive associations or increased immune functions in response to an R/S intervention.

    “Of the 14 studies with the highest quality ratings, 10 (71%) reported significant positive associations [437–443] or increased immune functions in response to a R/S intervention [444–447].”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [441]

  • Of the ten studies with quality ratings of 7 or higher, seven (70%) reported significant inverse associations with infection/viral load.

    “Ten of the 12 studies had quality ratings of 7 or higher; of those, seven (70%) reported significant inverse associations with infection/viral load [440, 441, 449–454].”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [441]

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Authors
MERCHANT, A. T., PITIPHAT, W., AHMED, B., KAWACHI, I., & JOSHIPURA, K.
Affiliations
Harvard University (US)
Corresponding author
MERCHANT, ANWAR T.
ORCID
Venue
The Journal of the American Dental Association
Publisher
Elsevier BV
Published
2003-12
Volume
134
Issue
12
Pages
1591-1596
ISSN
0002-8177 (ISSN-L)
DOI
10.14219/jada.archive.2003.0104
OpenAlex
W1971107749
Cited by
114
References
30
Citations by year
2025: 2 · 2024: 1 · 2023: 43 · 2022: 4 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 3 · 2014: 8 · 2013: 7 · 2012: 4
FWCI
2.60
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Journal of the American Dental Association (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health (CA55075, DE12102, HL35464)
Topics
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
Keywords
periodontitis, social support, anger expression, social isolation, religious participation, oral health, stress, men, healthcare workers, glucocorticoids, immune function
MeSH terms
Adult, Aged, Anger, Humans, Male, Middle Aged, Periodontitis, Prospective Studies, Surveys and Questionnaires, Risk Factors, Social Support, Stress, Psychological, Logistic Models

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